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Doctor insights on: Broken Fibula X Ray

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Metacarpal spiral fracture -- cast or splint?

Metacarpal spiral fracture -- cast or splint?

Either one ma y be: Used. If the fracture is felt to be potentially unstable a cast may be more likley selected if it is felt that the full time presence of that cast vs. The tendency to remove a splint make a difference . The issue with spiral fractures is to check rotation by genty making a fist to make sure the finger is not rotated and needing of a reduction or surgery ( internal fixation ). ...Read more

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Where exactly on ankle is a "posteromedial fracture fragment" and a "posterolateral fracture fragment" requiring screws? (Trimalleolar fx).

Where exactly on ankle is a "posteromedial fracture fragment" and a "posterolateral fracture fragment" requiring screws? (Trimalleolar fx).

Trimalleolar fractur: A trimalleolar ankle fracture by definition is an unstable ankle fracture that requires operative fixation. It includes the the distal fibula( lateral maleolous ), the medial distal end of the tibia( medial maleolous ), and the lower end of the tibia in the back of the ankle ( posterior maleolous ). The medial and lateral maleolous typically need fixation. Posterior maleolous only if >25% of joint ...Read more

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Fibula fracture, cast removed 6 weeks, fracture still not healed (gap). No boot ordered. X rays on profile. Worried about walking w/o boot. Advice please

Fibula fracture, cast removed 6 weeks, fracture still not healed (gap). No boot ordered. X rays on profile. Worried about walking w/o boot. Advice please

Are you having : Depending on the type and location of fracture this could all be normal. People are usually apprehensive when a cast is taken off. If pain persists with walking see your doctor or get a second opinion. Thank you. ...Read more

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Wrist bone contusion plus torn wrist cartilage tfcc. X ray shows my injuried wrist bones too close to each other. What can I do?

Wrist bone contusion plus torn wrist cartilage tfcc. X ray shows my injuried wrist bones too close to each other.  What can I do?

Grow cartilage: Most doctors do not believe, but we actually grow new cartilage in every joint in our body, every minute of every day. You need to wear out more slowly, and grow cartilage more quickly. Glucosamine works, but for the wrist needs to be given through skin by cream, or by injection. Oral pills do not work except for knees. www.blatmanhealthandwellness.com. ...Read more

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What if there is no callus formation on the complete fractured radius ulna? Overlapping fractured seen in xray

What if there is no callus formation on the complete fractured radius ulna? Overlapping fractured seen in xray

Hard to say: May be too early to see callus, nonunion, etc. X-ray findings need to be correlated with history and physical exam, preferably by an orthopedic surgeon. There is no shortcut to this. ...Read more

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How?Long ?To heal a displaced broken neck femur?

How?Long ?To heal a displaced broken neck femur?

Depends on treatment: Femoral neck fractures can be treated with fixation or replacement when displaced. When fixed, you can expect about 12 weeks for the fracture to heal. Weight bearing will be limited during the healing process. If the fracture is treated with replacement, hemi-arthroplasty, recovery is faster. There are limitations with a hemi-arthroplasty. A healed fracture should function well. ...Read more

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Hairline fracture foot child no cast?

Hairline fracture foot child no cast?

Yes and no.: It will depend where the broken bone is and the stability of the hairline fracture. If it is in an unstable region, a cast (and possibly nonweight-bearing) may be a good choice. ...Read more

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Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally" surgery or cast? Why .

Ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally"
surgery or cast? Why .

Orthopedic consult: Displaced cuneiform fractures often require an open reduction and internal fixation with screws. This is due to tarsometarsal joint instability. Additional important considerations include - intra-articular vs extra-articular and plane of the fracture. Isolated cuneiform fractures are rare and more likely to happen in association with metatarsal injuries. You need to consult an orthopedic surgeon! ...Read more

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Broken foot metacarpal casat or not?

Broken foot metacarpal casat or not?

Depends: Whether you get a cast, a brace or a stiff soled post-op shoe depends on the metatarsal bone that is fractured and whether or not it is displaced or inherently unstable. The mechanism of injury as well as the amount of swelling is a consideration ...Read more

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Injured for >2 months. MRI reveals extensive bone marrow edema in midfoot and navic and subchondral fx navicular. X-ray shows the fx. Will this heal?

Injured for >2 months. MRI reveals extensive bone marrow edema in midfoot and navic and subchondral fx navicular. X-ray shows the fx.  Will this heal?

Probably: Should be under care of orthopedic doctor. With proper immobilization with cast or brace and then probably some physical therapy the injury will probably heal.Sometimes there may be ligamentous injury but your mri would detect this aberration. Healing process may take longer since injury already two months old. ...Read more

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"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally do u think cast will heel up?

"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally
do u think cast will heel up?

Probably: Fortunately the cuneiforms are pretty rigid with alot of soft tissue/capsular attachment that help form the midfoot. A cast should help to allow things to heal and ossify. This may predispose you to some midfoot pain/arthritis as you get older. A good arch support may help longterm. I'd let your orthopod determine if cast or boot or postop shoe is appropriate w/o seeing films. ...Read more

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What could cause broken wrist (colles fracture)?

What could cause broken wrist (colles fracture)?

A fall: The most common cause of a broken wrist is a fall onto your outstretched hand. ...Read more

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Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

Treatment for undisplaced fracture or bone bruise of posterior medial talus and articular surface, and minor bone bruise distal calcaneous?

See orthopedic surg: Please see an orthopedic surgeon. Most likely need to be on crutches for a number of weeks. May need to wear a cast or boot as well. Some taler fractures also result in AVN which prolong the treatment course. ...Read more

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Will an MRI detect foot fracture?

Will an  MRI detect foot fracture?

DontNeedMriForFractu: You do not need an expensive imaging like MRI to diagnose and treat fractures.But if MRI is done for some other reason it will show foot fractureif it is there ...Read more

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Regarding ankle fracture, where on the ankle is the "posteromedial fracture fragment" (1 screw) and "posterolateral fracture fragment" (2 screws)?

Medial/ lateral: Medial is the inner side of the ankle, lateral the outer side. Posterior is towards the back. Hope it helps . ...Read more

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Nondisplaced navicular foot fx. Looked complete on the X Ray. It's been 8 weeks still not healed and dr said 4-6 more weeks in boot. Is he right?

Nondisplaced navicular foot fx. Looked complete on the X Ray. It's been 8 weeks still not healed and dr said 4-6 more weeks in boot. Is he right?

Delayed healing: can be common.Normal broken bone healing is 6-8 weeks, but many factors can slow it down, including being too active on your feet, even with the protection of a cast. Sometimes a bone growth stimulator can be used to give a boost to the healing process. ...Read more

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Broken wrist with cast, running allowed?

Broken wrist with cast, running allowed?

broken wrist: Sometimes, but this depends on the stability of the fracture. Please discuss with your orthopedic surgeon. ...Read more

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Does a nondisplaced anterior nasal bone fracture need surgery?

Does a nondisplaced anterior nasal bone fracture need surgery?

Not usually: Need to allow the swelling to go down and if that is the only issue , then surgery is not needed , but there could be cartilage damage in the nose area and that requires a physician exam to make a decision. ...Read more